The prevalence of headache disorders among medical students in Vietnam: a cross-sectional study.

IF 7.3 1区医学 Q1 CLINICAL NEUROLOGY Journal of Headache and Pain Pub Date : 2024-11-18 DOI:10.1186/s10194-024-01912-1

Hieu Trung Vo, Khoi Hong Vo, Lam Tung Duong, Lam Que La, An Bao Hoang, Phu Hong Vo, Thao Thu Tran, Binh Van Phan, Chinh Quoc Luong, Toan Phan Van, Nhan The Vo, Thuy Thanh Truong, Quy Huu Ha, Thanh Ha Phuong, My Thi Le, Dung Viet Nguyen

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Abstract

Background: Headache disorders are among the leading causes of disability worldwide, especially in young adults. However, no data on the burden of these disorders in Vietnam have been published to date. This study is the first to assess the prevalence of headache disorders among Vietnamese medical students.

Methods: This study was conducted in accordance with the recommended methodology of the Global Campaign. Data were collected through interviews using the HARDSHIP structured questionnaire, translated into Vietnamese, with diagnostic assessments based on ICHD-3 criteria. Participants were recruited from two medical universities in Vietnam. The 1-year prevalence rates of headache disorders of public health significance (migraine, tension-type headache [TTH], and probable medication-overuse headache [pMOH]) were estimated. Logistic regression analyses were performed to evaluate the associations between headache disorders and sociodemographic/anthropometric variables.

Results: A total of 1,362 participants (42.7% males and 57.3% females) with a mean age of 21.1 ± 1.6 years were included. The overall 1-year prevalence of any headache was 82.6% [95% CI: 80.5-84.6], with a prevalence of 74.7% [71.0-78.2] among males and 88.5% [86.0-90.6] among females. The 1-year prevalences for specific headache types were as follows: migraine 21.8% [19.6-24.1], TTH 54.0% [51.3-56.7], pMOH 0.4% [0.2-1.0], and other headaches on ≥ 15 days/month 3.7% [2.7-4.8]. The one-day prevalence of any headache was 12.1%. Female gender (adjusted OR = 1.77 [1.32-2.36]; p < 0.001) was independently associated with a higher prevalence of migraine, while older age (aOR = 0.84 [0.77-0.91] per year increase) was associated with a lower prevalence. In contrast, TTH was more common among older participants (aOR = 1.07 [1.005-1.15] per year increase).

Conclusions: This study highlights the high prevalence of headache disorders, particularly migraine and TTH, among medical students in Vietnam. These findings underscore the critical need for public health initiatives to improve early diagnosis and effective management of headache disorders within this population.

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越南医科学生头痛病患病率：一项横断面研究。

背景：头痛疾病是导致全球残疾的主要原因之一，尤其是在年轻人中。然而，迄今为止，还没有关于这些疾病在越南造成的负担的数据。本研究首次评估了头痛疾病在越南医科学生中的流行情况：本研究按照全球运动推荐的方法进行。通过使用 HARDSHIP 结构化问卷（已翻译成越南语）进行访谈收集数据，并根据 ICHD-3 标准进行诊断评估。参与者来自越南的两所医科大学。对具有公共卫生意义的头痛疾病（偏头痛、紧张型头痛[TTH]和可能的药物滥用性头痛[pMOH]）的 1 年患病率进行了估算。对头痛疾病与社会人口学/人体测量学变量之间的关系进行了逻辑回归分析：共纳入 1,362 名参与者（42.7% 为男性，57.3% 为女性），平均年龄为 21.1 ± 1.6 岁。任何头痛的 1 年总体患病率为 82.6% [95% CI：80.5-84.6]，其中男性患病率为 74.7% [71.0-78.2] ，女性患病率为 88.5% [86.0-90.6]。特定头痛类型的 1 年患病率如下：偏头痛 21.8% [19.6-24.1]，TTH 54.0% [51.3-56.7]，pMOH 0.4% [0.2-1.0]，其他头痛 ≥ 15 天/月 3.7% [2.7-4.8]。任何头痛的单日发病率为 12.1%。女性（调整后 OR = 1.77 [1.32-2.36]; p 结论：本研究强调了越南医学生中头痛疾病的高患病率，尤其是偏头痛和TTH。这些研究结果突出表明，亟需采取公共卫生措施，以改善这一人群中头痛疾病的早期诊断和有效管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Headache and Pain 医学-临床神经学

CiteScore

11.80

自引率

13.50%

发文量

143

审稿时长

6-12 weeks

期刊介绍： The Journal of Headache and Pain, a peer-reviewed open-access journal published under the BMC brand, a part of Springer Nature, is dedicated to researchers engaged in all facets of headache and related pain syndromes. It encompasses epidemiology, public health, basic science, translational medicine, clinical trials, and real-world data. With a multidisciplinary approach, The Journal of Headache and Pain addresses headache medicine and related pain syndromes across all medical disciplines. It particularly encourages submissions in clinical, translational, and basic science fields, focusing on pain management, genetics, neurology, and internal medicine. The journal publishes research articles, reviews, letters to the Editor, as well as consensus articles and guidelines, aimed at promoting best practices in managing patients with headaches and related pain.